School ager with parasomnias+gait disturbance Axial FLAIR MRI(above left) shows pons to be enlarged+to have increased signal intensity throughout. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #NeuroRad #PediNeuroRad #NeuroRadiology #Neurology #Neurosurgery #pediatria

Teen with longstanding bilateral heel pain Lateral radiographs of left foot(above)+right foot(below) show dense calcaneal apophyses bilaterally which have been present on radiographs over last 4 years #FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #OrthoTwitter

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Newborn with abdominal muscle hypoplasia+bilateral cryptorchidism AXR shows bulging flanks bilaterally+low lung volumes bilaterally #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #NICU #Neonatology #radiologia #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

School ager with cystic fibrosis+abdominal pain Coronal CT(above) shows marked nodular contour to liver+multiple dilated veins around spleen. #FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria

Newborn delivered via cesarian section with respiratory distress Initial CXR (above) shows normal lung expansion and fine interstitial infiltrates bilaterally. No pleural effusion is seen. #radiology #pediatrics #radiologia #medstudent #medicalstudent #paediatrics #pediatria #pediatrie #pädiatrie

Teen with abdominal pain+hematuria Transverse US of abdomen(above) shows just to left of midline compression of left renal vein beween superior mesenteric artery+aorta... #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria

Teen from Africa with positive Quantiferon test CXR(above) shows prominence of superior mediastinum+left hilum. CT with contrast(below) shows extensive left hilar+subcarinal lymphadenopathy #FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent

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The Random Pediatric Radiology Case feature, which was broken for several months, has been fixed. Give it a try at pediatricimaging.org/random

School ager with respiratory distress CXR AP (above) shows an abnormal soft tissue density to the left of the spine in the left suprahilar region. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #medstudent #medicalstudent #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

Teen with trauma to knee 1 month ago who is now developing new symptoms of knee pain with knee movement AP(left)+lateral(right) radiographs show area of diffuse calcification in muscles anterior+medial to distal femur #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #Ortho #Orthopedics

Female preschooler with pelvic pain Axial(above left), sagittal(above right)+coronal (below) CT without contrast show large thick walled, fluid-filled, unilocular mass just above+to right of bladder... #FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #PedSurg #SoMe4PedSurg

Newborn with difficulty feeding CXR(left) shows dilated air-filled structure just to right of spine. AP(middle)+lateral (right) images from upper GI show two fixed focal areas of narrowing in distal esophagus... #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg

Teen with respiratory distress+ blood coming from endotracheal tube CXR(above) shows bilateral diffuse asymmetrical airspace opacities which are more confluent in right lung. There is a moderate in size right pleural effusion #FOAMed #MedEd #radiology #pediatrics #radiologia #FOAMRad #paediatrics

Teen with chronic neurologic impairment who has fever+constipation Axial CT(above) shows marked diffuse wall thickening+mucosal enhancement of transverse colon #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent

Teen with malignant bone tumor who has headaches+vomiting CT without contrast shows large dense lesion in posterior aspect of right cerebral hemisphere which has high density calcification along its most posterior aspect #FOAMed #radiology #pediatrics #radiologia #NeuroRad #Neurology #Neurosurgery

Toddler with lethargy Sagittal T1 MRI without contrast(above left) shows large, isointense, heterogenous but primarily solid mass arising in region of pineal gland. #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #EmergencyMedicine #radiologia #NeuroRad #Neurology #Neurosurgery

Infant with respiratory distress CXR(above) show cystic expansile lesion arising from posterior aspect of right 8th rib causing distortion of adjacent bony thorax #FOAMed #MedEd #FOAMRad #SoMe4PedSurg #PedSurg #radiology #pediatrics #radiologia

School ager with neurofibromatosis Type I and hypertension Spectral doppler US of the kidneys (above) shows tardus parvus waveforms in the renal arteries bilaterally. #FOAMed #MedEd #FOAMPed #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #Ultrasound #radiologia

Preschooler with recurrent episodes of respiratory distress over several years Initial CXR (above) shows opacity in medial aspect of right lower lobe which took a year to resolve radiographically #RSNA25 #FOAMed #MedEd #FOAMRad #PedsRad #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg

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School ager with respiratory distress CXR shows bilateral diffuse+symmetrical interstitial infiltrates which are miliary in appearance The diagnosis was pulmonary alveolar proteinosis. Learn more: pediatricimaging.org/diseases/pul... #FOAMed #RSNA25 #FOAMRad #radiology #pediatrics #radiologia

Preschooler with chronic respiratory distress+long-standing abnormal CXR CXR(above) show opacity in left upper lobe that was stable over several months. Coronal CT(below) shows complete atelectasis of left upper lobe #FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine

Toddler who was seen to swallow something AXR AP shows 13 small round radiopaque objects that are joined together in a chain. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #SoMe4PedSurg #medstudent #medicalstudent #radiologie #paediatrics #pediatria

Teen with syncope CT without contrast shows low density mass in region of pineal gland+left thalamus that has punctate area of high density within it representing either calcification or hemorrhage. #FOAMRad #radiology #pediatrics #radiologia #NeuroRad #Neurology #Neurosurgery #EmergencyMedicine

School ager with abnormal appearing forearms AP radiograph of left forearm (left) shows shortening+bowing of radius+positive ulnar variance. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

Preschooler with abdominal pain Axial(above left)+coronal(above right) CT with contrast show round low density lesion in upper pole of right kidney. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #Ultrasound #radiologia #radiologie

School ager with respiratory distress which has not responded to medical therapy CXR shows a dense consolidation in right middle lobe. #FOAMed #MedEd #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria #pediatrie

Teen with chest pain CT at presentation(above) shows a large amount of air in right pleural space which was subsequently treated with a chest tube #FOAMed #MedEd #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool #medicalschool

School ager who had a Nissen fundoplication 4 years ago who now has gagging while eating AP(left)+lateral(right) images fromUpperGI show Nissen fundoplication wrap is intact. #FOAMed #MedEd #FOAMRad #PedsRad #RadEd #RadRes #radiology #pediatrics #radiologia #PedSurg #SoMe4PedSurg

Teen with left facial pain Axial(left)+coronal(right) CT shows expansile cystic lesion of left maxilla that contains a molar tooth within it #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #NeuroRad #PediNeuroRad #NeuroRadiology #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

Teen who is pregnant with new onset focal neurological deficits+ataxia FLAIR MRI show multiple lesions in centrum semiovale, periventricular white matter, splenium of corpus callosum+white matter of parietal+occipital lobes #FOAMRad #radiology #pediatrics #radiologia #NeuroRadiology #Neurology

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Teen who is a baseball pitcher with right shoulder pain Radiograph of right shoulder(left) shows proximal humeral epiphysiolysis+physeal widening+juxtaphyseal osteopenia+mild metaphyseal sclerosis in lateral aspect of right proximal humeral physis #FOAMRad #PedsRad #radiology #Ortho #Orthopedics

Toddler with cough CXR shows bilateral diffuse bronchial wall thickening+subsequent interstitial infiltrates. The diagnosis was mycoplasma pneumonia. Learn more: pediatricimaging.org/diseases/myc... #FOAMed #FOAMRad #radiology #pediatrics #EmergencyMedicine #radiologia #paediatrics #pediatria

Teen with left scrotal pain Transverse(above)+sagittal (below) US of left scrotum show an oval hyperechoic lesion that is in scrotum but that is extratesticular in location+which has posterior acoustical shadowing #FOAMed #MedEd #FOAMRad #radiology #pediatrics #Ultrasound #radiologia #radiologie

Teen with a limp AP(left)+lateral(right) radiographs show in tibial diaphysis multiple+too numerous to count eccentric expansile lucent lesions with bubbly+sclerotic borders which are without periosteal reaction #FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics

Immune suppressed patient with odynophagia AP images from UpperGI show multiple longitudinally oriented lesions in under-distended esophagus which are separated by normal mucosa+small round ulcers #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #paediatrics #pediatria #pediatrie

Newborn whose mother was exposed to CMV during pregnancy Coronal US of brain(above) shows large septated cysts in germinal matrix (germinolysis) bilaterally+multiple periventricular echogenic foci just lateral to anterior horns of lateral ventricles bilaterally... #radiology #pediatrics #NICU

School ager with chronic cough+right shoulder pain Radiograph of shoulder shows well circumscribed lucent lesion in right humeral epiphysis. There is no periosteal reaction The diagnosis was tuberculous osteomyelitis. #FOAMed #MedEd #radiology #radiologia #Ortho #Orthopedics #Orthopaedics

School ager with foot pain Radiograph of foot shows sclerosis+fragmentation of tarsal navicular bone. The diagnosis was Kohler disease. Learn more: pediatricimaging.org/diseases/koh... #FOAMed #MedEd #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #EmergencyMedicine

Preschooler with right neck swelling CT of neck shows round low density fluid collection with thin enhancing rim in right parapharyngeal space. Right carotid artery+internal jugular vein are narrowed in caliber+there is mass effect on right side of airway #radiology #pediatrics #EmergencyMedicine

Infant with duplicated right kidney Lateral image from voiding cystourethrogram shows round lucency / filling defect near trigone of the bladder. There is also contrast filling a blind ending tubular tract at dome of bladder. #FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics

Teenager with pica AXR shows multiple punctate and linear radiopaque objects in the ascending colon. #FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #medstudent #medicalstudent #medschool #medicalschool #radiologie #paediatrics #pediatria #pediatrie #pädiatrie

Infant with failure to thrive Left lateral decubitus AXR (above left) shows an air filled duodenal bulb and an air filled stomach (double bubble sign) with some distal bowel gas #FOAMed #MedEd #radiology #pediatrics #radiologia #Ultrasound #PedSurg #SoMe4PedSurg #radiologie #paediatrics #pediatria

Preschooler with anemia+palpable epigastric mass Coronal(above)+axial (below) CT show stomach distended by large mass that has swirled appearance+that fills entire stomach+duodenal bulb #FOAMed #MedEd #radiology #pediatrics #EmergencyMedicine #radiologia #PedSurg #medstudent #medicalstudent

7 week old infant with respiratory distress without fever CXR show bilateral diffuse infiltrates with hyperexpanded lungs. The diagnosis was chlamydia pneumonia. Learn more: pediatricimaging.org/diseases/chl... #FOAMed #MedEd #radiology #pediatrics #radiologia #paediatrics #pediatria

Female preschooler with urinary tract infection AP image from a voiding cystourethrogram shows a non-obstructive ellipsoid-shaped dilation of the posterior urethra just distal to the internal urethral sphincter #FOAMed #MedEd #radiology #pediatrics #radiologia #radiologie #paediatrics #pediatria

School ager with headaches Lateral radiograph of skull obtained 3 years ago(above) shows ventriculoperitoneal (VP) shunt tubing that courses inferiorly is connected appropriately to radiolucent VP shunt reservoir #FOAMed #MedEd #radiology #pediatrics #Neurosurgery #EmergencyMedicine #Neurorad